Active NPI
Robert A Love III, MD
- Diagnostic Radiology Physician
- Fairfield, OH
National Provider Identifier
1104820885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35030317L
- Practice address
- 3000 Mack Rd
Fairfield, OH 45014-5335 - Phone
- (513) 870-7024
- Fax
- (513) 965-8091
- NPI assigned
- Jun 9, 2005
- Last updated
- Feb 22, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35030317L | OH | Primary |
Addresses
Primary practice location
3000 Mack Rd
Fairfield, OH 45014-5335
Mailing address
PO Box 42417
Cincinnati, OH 45242-0417
Phone (513) 965-8041
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64781024 | Medicaid | KY | |
| 0318089 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050311000442 | OH | Practitioner - Diagnostic Radiology | 1456300011 | Practice locations: West Chester, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35030317L | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proscan Open MRI East, LTD. | Diagnostic Radiology | Current | Accepting new patients |
| Proscan Tylersville, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Physiatric Associates Inc | Past | Accepting new patients | |
| Nuray Radiologists Inc | Past | Accepting new patients |
Locations
5400 Kennedy Ave
Cincinnati, OH 45213
Phone (513) 281-3400
7307 Tylers Corner Dr
West Chester, OH 45069
Phone (513) 759-7350
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ProScan Imaging Eastgate
- Diagnostic Radiology Physician
- Cincinnati, OH
- NPI 1861482911
-
- Diagnostic Radiology Physician
- Liberty Township, OH
- NPI 1972593093
-
- Specialist
- Fairfield, OH
- NPI 1831193739
-
- Specialist
- Burlington, KY
- NPI 1205837226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1104820885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42417",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452420417",
"telephone_number": "513-965-8041",
"fax_number": "513-965-8091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MACK RD",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145335",
"telephone_number": "513-870-7024",
"fax_number": "513-965-8091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "ROBERT",
"middle_name": "A",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35030317L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64781024",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0318089",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.